Information Collection

Program application

IC 178443 under ICR 201903-1076-003 · OMB 1076-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RGI10 Program application	Form and Instruction
RGI10 Request for Loan Guarantee or Insurance RGI10 - Request for Guarantee or Insurance 2019.docx www.bia.gov/WhoWeAre/AS-IA/IEED/DCI/index.htm	Form and Instruction

IC Title:

Program application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 103.13 25 CFR 103.14 25 CFR 103.21 25 CFR 103.12

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RGI10	Request for Loan Guarantee or Insurance	RGI10 - Request for Guarantee or Insurance 2019.docx	http://www.bia.gov/WhoWeAre/AS-IA/IEED/DCI/index.htm	No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: BIA-13, Loan Management and Accounting System

FR Citation: 73 FR 40595

Number of Respondents: 65

Number of Respondents for Small Entity: 35

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.